69054D - Sherman

MCCelV ru I "UPUMOucu I I I I I I Comments
3/27/2017
Richardson
ConstructionMill
Richardson
Tim Sherman BB&T 6667 $400.00 GP 69054D

NC Division of Coastal Mgt. Habitat Impact Com
Applicant: �\ S�,yYv�c�Vl
Date: —�
Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FI
(Applied for.
(Anticipated final
(Applied for.
(A
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
di:
Habitat Name
Choose One
includes any
Excludes any
total includes
E,
anticipated
restoration
any anticipated
re
restoration or
and/or temp
restoration or
to
temp impacts)
impact amount)
temp impacts)
ar
}� ()
Dredge ❑ Fill X Both ❑ Other ❑
'
Ion
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson
Governor Director
AGENT AUTHORIZATION FORM
Date: March 15, 2017
Name of Property Owner Applying for Permit:
Tim Sherman
Owner's Mailing Address:
1018 Twin Oaks Ct
Concord, NC 28027
Phone Number( 704) 791-9454
Dee Freemai
Secretar
Name of Authorized Agent for this project:
Will Richardson
Agent's Mailing Address:
Richardson Construction & Marine Contracting
3235 Seacrest Ave, SW
Supply NC 28462
Phone Number ( 910}842-5596
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
Replacement of bulkhead wall.
(my property located) at 117 Salisbury St, Holden Beach, NC 28462
This certification is valid thru (date) 5-15-2017
� f �} �^'l ! O �, ::.sue i Z.""F�....�� f ..✓' � �_
Property Owner Signature Date

CERTIFIED MAIL —RETURN RECEIPT REOL-STED
DIVISION OF COASTAL K43 AGEMENT
ADJACENT RIPARILAL PROPERTY OWNER STATUVIENT
I hereby cemfy that I own property adjacent to Tan Sherman 's
(name of Property Owner)
property located at 117 Salisbury St
(Lolock, Road, etc.)
on Canal , in Homan Beach, N-C.
(Waterbody) (Town and/or County)
Applicant's phone #: [phone] NSailing Address: 1018 Twin Oaks Ct
Concord. NC 28027
He/She has described to me as shown below the development he/sbe is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposin4 development must fill in description below or attach a site drawing)
Replacement of bulkhead wall.
If you have objections to what is being. proposed, you must notify the Division of Coastal Management (DCU) in srrltinl
within 10 days of receipt of this notice. Correspondence should be mailed to 1-77 Cardinal Drive Ext. WHmington, NC
DCM representatives can also be contacted at [phone]-
o response is cgnsidered the same as no oblectfon if you have been notified by Certified Mill
(Property Owner ]Information)
Will C. Richardson
Signature
Will C. Richardson
Print or Type Name
3235 Seacrest Ave. SW
Mailing Address
Supply / NC / 28462
City / State / 7-in
i
Property Owner Information)
Si
Misty B. Easton
Print or Type Name
115 Salsbury St.
Mailing Address
Holden Beach / NC / 28462
City I State / Zip

CERTIFIED N AIL — RETURN RE CEIPT RE )UESTED
DIVISION OF COASTAL l�L�\AGEW-1N- '
ADJACENT RIPARIAN PROPERTY OWNER STATF ENT
I hereby certify that I owu property adjacent to
property located at
on Canal
117 Salisbury St
(Waterbody)
Applicant's phone #: [phone]
Tim Sherman
(Name of Property Owner)
(Lot, Block Road, etc.)
in Holden each
(Town and/or County)
Mailing Address: 1018 Twin Oaks Ci
Concord, NC 28027
He/She has described to me as shown below the development helshe is proposing at that location,
and I have no objections to the proposal.
`s
N.C.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPIVIENTT:
(Individual proposing development must, fill in description below or attach a site drawing)
Replacement of bulkhead wall.
If von have objections to what is being proposed, you mast notify the Division of Coastal Management (DCM) in spriting
within 10 days of receipt of this notice. Correspondence should be mailed to I— Cardinal Drive Ext. Wilmington, NC
DOM representatives can also be contacted at [phone]_
No response is considered the same as no obiec4 n if You have been notified by Certified Mail
(Property Owner Information)
Wi& ,L Authorized Agent
Signature
Will Richardson
Print or Type Name
3235 Seacrest Ave SW
Mailing Address
Supply NC 28462
(Riparian Property Owner information)
Signawure C/
/ �/
LAI-i /p e -, / r< < 4A-* D
Print or Type dame
36108 5"A,-, d Dec .
Mailing Address
F� ���r •e •'ggm fa
r f c+e+e , 7:,,

of Nork:
;ement of Bulkhead Nall
-50ft
Existing docking facility
ft
'roperty South Owner: Adjacent Property Owner North
ton Tim 5herman Earl Jackson
111 5alisbury 5treet
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